Barriers and drivers influencing people's behaviour towards COVID-19 public health and social measures in the Netherlands

IF 2.2 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health in Practice Pub Date : 2024-12-19 DOI:10.1016/j.puhip.2024.100566

Valérie Eijrond , Nora Bünemann , Nicky Renna , Brett Craig , Katrine Bach Habersaat , Hélène Voeten , Pearl Dykstra , Anja Schreijer

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引用次数: 0

Abstract

Background

The disease burden of COVID-19 infection, morbidity, and mortality was unevenly distributed across different population subgroups. A one-size-fits-all approach may not reach all groups. Identifying barriers and drivers that influence behaviour towards COVID-19 public health and social measures (PHSM) is an important step when designing tailored interventions. Using the WHO Tailoring Health Programmes (THP) approach, we performed a situation analysis. The objectives were to identify population subgroups; gain an overview of barriers and drivers to COVID-19 PHSM among subgroups; and interventions and research initiated in the Netherlands.

Study design

A literature scan, interviews and a meeting with experts were held.

Methods

Results were categorised according to the capability, opportunity, and motivation to understand COVID-19 PHSM behaviour.

Results

Different population subgroups have been studied regarding their barriers and drivers for uptake and adherence to COVID-19 PHSM, such as (older) migrant communities. Barriers include language barriers, mis- and disinformation and distrust. Drivers include protecting others and oneself. Network ties play a role, as a barrier and driver. Forty-five interventions and research projects were identified. Several revealed the importance of involving key figures. A lack of monitoring and evaluation of interventions during the pandemic was acknowledged by experts.

Conclusions

The situation analysis reveals that knowledge of the most prevalent barriers and drivers between underserved groups and how to address them with targeted (cost) effective interventions is lacking. With this THP project we aim to develop new or improve existing interventions addressing behaviours towards PHSM among a prioritised population group informed by evidence-based behavioural insights.

查看原文本刊更多论文

在荷兰，影响人们对 COVID-19 公共卫生和社会措施行为的障碍和驱动因素。

背景：COVID-19感染的疾病负担、发病率和死亡率在不同人群亚组中分布不均匀。一种放之四海而皆准的方法可能无法适用于所有群体。确定影响采取COVID-19公共卫生和社会措施的行为的障碍和驱动因素，是设计量身定制干预措施的重要步骤。使用世卫组织定制卫生规划（THP）方法，我们进行了情况分析。目的是确定人口分组；概述各子群体中COVID-19初级卫生保健预防的障碍和驱动因素；以及在荷兰发起的干预和研究。研究设计：进行文献扫描、访谈和专家会议。方法：根据了解COVID-19 PHSM行为的能力、机会和动机对结果进行分类。结果：研究了不同人群亚组接受和坚持COVID-19 PHSM的障碍和驱动因素，例如（老年）移民社区。障碍包括语言障碍、错误和虚假信息以及不信任。司机包括保护他人和自己。网络纽带发挥作用，既是障碍，又是驱动。确定了45个干预措施和研究项目。有几次会议揭示了关键人物参与的重要性。专家们承认，在大流行期间缺乏对干预措施的监测和评价。结论：情况分析表明，缺乏对服务不足群体之间最普遍的障碍和驱动因素的了解，以及如何通过有针对性的（成本）有效的干预措施来解决这些障碍和驱动因素。在这个THP项目中，我们的目标是开发新的或改进现有的干预措施，通过基于证据的行为见解，在优先人群中解决针对PHSM的行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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